HomeMy WebLinkAboutBLD9880 Shed Cover Over Mobile Home - BLD Application - 8/4/1976 BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Sheiton, Washington 98584
DATE ISSUED
/Z52 Y3 Z G v PERMIT NO.
NAME MAIL ADDRESS ITY A STATE r ZIP PHONE
OWNER k ���— g ,,R .
n �_ <�L Fri,I S? t 2 ..5,-?-oo
DIRECTIONS
TO JOB SITE
LEGAL �/ c �y (❑SEE ATTACHED SHEET)
DESCR. x 2p — 2-3"
CONTRACTOR NAME MAIL ADDRESS CITY 6 STATE LICENSE NO. PHONE
P L A►.> -(-o
USE OF BUILDING 1_<:7A42� � �;�'�— C 1��,("' �y.j $� I N � r -1 O r� f L p 11►�1`rl�.
Class of work: C9'NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work: 0
,
e� w ,
11Cr Cr` SfiNe I f e wtl1 vvee ( oo \j- G ►v-MPca1`s F6r-
WeAC,(— f5Aelav ,`10 LeEutC' , O tfrec7- ( -/ � � 6`,rlP �e
Valuation of work: $ ` PLAN CHECK FEE PERMIT FE* B�
SPECIAL CONDITIONS: / r
APPLICATION ACCEPTED BY, PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division
��.O�"4 gY/,� ConaL Grouptq ,-
Size of Bldg. No. of Max.
(Total) Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a currently registered Contractor in RESIDENCE
the State of Washington and I am aware of the MOBILE HOME
ordinance requirements regulating the work for which
the permit is issued and all work done will be in Special Approvals Required Received Not Required
conformance therewith. ZONING
HEALTH DEPT.
Firm PUBLIC WORKS
By ROAD DEPT.
Lic. No. Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the N O T I C E
contract or registration law RCW 18.27, and am aware
of the Mason County ordinance requirements for SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be in conform e t erew h. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
I IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS
�� (� - SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER
Owner t t Date. ,/ � WORK IS COMMENCED.
PL N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION kCK. M.O. CASH
SOLD
2LI 1 3314300 7
. . ebb-0%_1
..
Edward B. Cokelet 15"05-5-166
F. 0. Box 168
Belfair, Wa
3
WASH CONDITIONAL
Q
SALE
SEASONAL
TO 5 ORE
NO DATE
/ /197 BRANCH d� IDAHO
NO DATI PE rROMATIC
IA 29 30 31
UNITS DESCRIPTION CODE TAR OUANTITY 36 PRICE 37 AMOUNT A
CODE OR POUNDS
1 Completion of Farm 823-997 T "'2,026.00
I
I
I
1
1
I
I
I
' I i
I
I
I
I
INSTALLATION & LABOR 1
780 999 I
CARTAGE 951 053 CWT. RATE
I
SERVICE MILEAGE & LABOR 921 28Q
REMARKS MEMO S CHANGE TRANSACTION-SIGNATURE
TOTAL SUB
Y.M(DUNT I;XC I D I'+-' 1,Lr13.0o PO NDS TOTAL" 2,02�•
BALANCE DLL 4 714.30 TAXES $ z,oz6.o0 5 % AA 1e1.3
CASH RECEIVED BY SO AMOU i 56
CASH� $ TOTAL AMOUNT- S7 63
-_�y, 2 127.3 CHECK ,
nS
F66 D MEMBER COPY � t FARMER'S ASSOCIATION
ALL CLAIMS MUST BE REPORTED ON RECEIPT OF GOODS i
� �- � 7
Tao of =' C,13
irr ' ce of
2 times the AeV of Structure Siaoe
13, max.-* _Q
Footing
Nat to escead 40 -
Fcce of I Tae of a
Structure S1004 3W
�E BUILDING OFFICIAL MAY APPROV'
TYPICAL STRUCTURAL SETBACX ALTERNATE sErgAcxs a CLEARANCES
Scale I" = 20,
Sample Site Plan
241�
1'S3, 14
- t
32'
4a, o
G PROPOSED r+
N RESIDENCE L .••$. c
rocks
Sectic Tang a
EDGE OF BANK m 68
Q c
24.
4Q'
e
N
I �
t
Min.S'sefgoa Well(see 121
238' 1 u
TYPICAL SITE PLAN 1" = 20a
J. DOE 1406 Mason U. Or.
N
• BUILDING PERMIT APPLICATION
MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
DATE ISSUED r?J
PERMIT NO. fee
OWNER NAME MAIL ADDRESS CITY&STATE ZIP PHONE
�`okeLCT � 6 t-3e eCFaf� t�! S{� , �' ? 2 ;7s Zae !
DIRECTIONS -?TO JOB SITE I [e4;"a e i-J ale Lrrm'�SACPP
IYLL..S�C�--S(,�=1� �.�; 3 - i� '�-
LEGAL t t (❑SEE ATTACHED SHEET)
DESCR.
NAME MAIL ADDRESS CITY 3 STATE LICENSE NO. PHONE
CONTRACTOR S'� L
USE OF 5' (QC-RC 2
BUILDING 0 tJ H' �05 t/tiJ l'�
Class of work: ❑ NEW 9KADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
Describe work:
RAF-5 ;K F-V.s—IfM ?: oaf o o e--
��taGc H � G �i' S ap 6L wA � rL 6 ^Ai be RooH ��SIAIrs
Valuation of work: $�J Q PLAN CHECK FEE PERMIT FEE
SPECIAL CONDITIONS:
APPLICATION ACCEPTED BY, PLANS CHECK BY APPROVED FOR ISSUANCE Type of Occupancy Division
Const. Group
ra
_ i Size of Bldg. No. of Max.
(Total)Sq. Ft. Stories Occ. Load
CONTRACTOR AFFIDAVIT
PERMANENT SEASONAL E.D.NUMBER
I certify that I am a Currently registered Contractor in RESIDENCE
the State of Washington and I am aware of the MOBILE HOME
ordinance requirements regulating the work for which
the permit is issued and all work done will be in Special Approvals Required Received Not Required
conformance therewith. ZONING
HEALTH DEPT.
Firm PUBLIC WORKS
ROAD DEPT.
By
Lic. No. Date
OWNERS AFFIDAVIT
I certify that I am exempt from the requirements of the N O T I C E
contract or registration law RCW 18.27, and am aware
of the Mason County Ordinance requirements for SEPARATE PERMITS ARE REQUIREDFOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
which this permit is issued and that all work done will
be In conf rmance therewith. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
' ` ^ IS NOT COMMENCED WITHIN DAYS, OR CONSTRUCTION OR WORK IS
`
-'-)I � SUSPENDED OR ABANDONED FOR OR A PERIOD OFF 120 DAYS AT ANY TIME AFTER
Owner g . r Date r WORK IS COMMENCED.
PLA CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
Re2 •-- N.56°0158 "W. N, 89° 09' 28 W. 2674, 34
0
� 2&----505,08 - -- 546.42 - - 100.0,' --- - - - - 1417. 0 - - - - - - - '
�N.W. CORNER 4, �SF � 1,84 A CRE h
' S.W.4-SEC,28 `/
•�so �r, °o 1,02 AC.tc i
00
45
10 � �� \SHORT PLAT No, 178
1 iS,�P� Rd� AUD. FILE ko.307560 % o —1—ki5900
•41 00 95
cs OIv:Ei
N rim
- - .78°14'16"F. 5 a,' ` �; � SCALE !"=200'
N 1
r
�v' ,, _v
50.0 ACRES �Q
°
Uj
i 11. 77 ACRES s
O O //0 �� /2'9lf 00
Z � 6*0
96v(Oo
i
- - 400,00 -- - _ ,r�, --- -- -- - 1733,0 ± - - -
L EGEND: N. 89° 13 '55 " W, 2673. 54
O Denotes iron pipe set by Muller, Nov. 1974 E, B . COKELE T
16 • Denotes iron pipe set by Muller , Jul;1978 O WNER SHORT PLAT OF A PORTION OF
Edward B. $ Vivene E. Cokelet SECTION 28 - T. 23 N. - R. I W. - W, M,
Word-C. Muller - Licensed Land Surveyor P.O. Box 168 Belfair ,, Washington 98528
217- Sidney Avenue MASON COUNTY, WASH,
Phone : 275- 2001 SEPT. 8, 1978
Port Orchard , Washington 3218